Sales/use Tax Return Sheet

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Taxpayer's Name and Address
CITY OF NORTHGLENN
Period Covered:
Account #
Due Date:
SALES/USE TAX RETURN
Department of Finance - P.O. Box 330061 - Northglenn, CO 80233-8061
Computation of Tax
Amount of City Sales Tax (4.0% of Line 4)
5.
Sales Tax on Food For Home Consumption
6.
Amount Subject to Tax __________________ x 3.5% =
1.
Gross Sales and Service
Add: Excess Tax Collected
7.
2A. Add: Bad Debts Collected
Adjusted City Tax (Add Lines 5, 6, and 7)
8.
2B.
Total Lines 1 & 2A
9.
Deduct 1% of Line 8 (Vendors Fee, if Paid by Due Date)
10. Total Sales Tax (Line 8 minus Line 9)
3.
A.
Nontaxable Service Sales
B.
11. City Use Tax (From Sch. B) Amount Subject to Tax _________________ x 4.0
Sales to Other Licensed Dealers for Purposes of Taxable Resale
12. Total Tax Due (Add Lines 10 and 11)
C.
Sales Shipped out of City and/or State
D.
(Late Filing if Return is
Penalty 15%
Bad Debts Charged Off (On which City Sales Tax has been Paid)
13.
Add:
E.
Filed after Due Date)
Interest 1.5% / mo.
Total =
Trade-ins for Taxable Resale
14. Total Tax, Penalty, and Interest (Add Lines 12 and 13)
F.
Sales of Gasoline and Cigarettes
Deductions
A. Add:
G.
Adjustment from Prior Periods
Sales to Governmental, Religious, and Charitable Organizations
15.
B. Deduct:
H.
(Attach Copy of Assessment)
Returned Goods
I.
Prescription Drugs/Prosthetic Devices
16. Total Due and Payable (Make Payment Payable to City of Northglenn)
J.
Other Deductions (List)
K.
L.
Schedule A: Special Message from Taxpayer to City
Total Deductions (Total of Lines 3A - 3L)
Total City Net Taxable Sales (Line 2B minus Line 3)
4.
Please Complete this Form on Reverse Side

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